Effects of 12-Week Dietary Nitrate Supplementation with Resistance Training on Skeletal Muscle and Vascular Outcomes and in Older Adults

Increasing dietary nitrate (NO3-) through beetroot juice (BRJ) supplementation elicits acute ergogenic benefits. However, it is unknown whether chronic NO3- supplementation can enhance resistance training (RT) adaptations in middle-aged and older individuals. Therefore, we sought to determine whether 12 weeks of combined RT and NO3- supplementation enhanced hypertrophic, vascular, strength, and skeletal muscle angiogenesis adaptations in this population. Twenty-eight apparently healthy, untrained men and women (56±7 years old, 29.1±5.3 kg/m2 body mass index) completed 12 weeks of supervised full-body RT (2x/week) while ingesting either BRJ (140 mL daily, providing 800 mg NO3-; n=14 with 7M/7W) or NO3--depleted BRJ placebo (PLA; n=14 with 7M/7W). Participants underwent a whole-body dual-energy x-ray absorptiometry scan, right mid-thigh ultrasonography for muscle imaging, right leg popliteal artery flow-mediated dilation (FMD) assessments, a biopsy of the right mid-thigh vastus lateralis, and strength testing prior to and following the 12-week intervention. Biopsy analyses included a NO3-/nitrite (NOx) fluorometric assay, immunoblotting for proteins involved in angiogenesis, and immunohistochemistry to quantify fiber type-specific capillaries and cross-sectional areas. Muscle NOx values did not significantly change: +15.4% in BRJ (p=0.073) and +7.8% (p=0.514) in PLA. Both groups significantly improved measures related to muscle hypertrophy, strength, and FMD. However, no significant group × time interactions were observed for whole-body lean mass, mid-thigh muscle cross-sectional area, popliteal artery FMD outcomes, or histological or molecular markers. In conclusion, BRJ supplementation does not enhance RT adaptations in middle-aged and older adults.